Organization Active NPI

Interphase Medical Care P.C.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1922163443
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INTERPHASE MEDICAL CARE P.C.
Practice address
2940 Ocean Parkway
Suite 1-a
Brooklyn, NY 11235
Phone
(718) 265-9332
Fax
(718) 265-8601
NPI assigned
Dec 26, 2006
Last updated
Apr 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anzhela Dvorkina, MDNPI 1023156049
Title
President
Phone
(718) 265-9332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

2940 Ocean Parkway
Suite 1-a
Brooklyn, NY 11235

Mailing address

P.O. Box 350-975
Brooklyn, NY 11235-0975
Phone (718) 265-9332

National Provider Directory

National Provider Directory

Locations

3009 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 265-9332

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1922163443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 350-975",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112350975",
            "telephone_number": "718-265-9332",
            "fax_number": "718-265-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 OCEAN PARKWAY",
            "address_2": "SUITE 1-A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-265-9332",
            "fax_number": "718-265-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERPHASE MEDICAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "DVORKINA",
        "authorized_official_first_name": "ANZHELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-265-9332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.